Wiggers Diagram Heart Rate Calculator
Understanding the Wiggers Diagram and Heart Rate
The Wiggers Diagram is a fundamental tool in cardiovascular physiology. It maps the events of a single cardiac cycle by showing synchronized changes in aortic pressure, ventricular pressure, atrial pressure, ventricular volume, the electrocardiogram (ECG), and heart sounds (phonocardiogram).
How to Extract Heart Rate from the Diagram
To calculate the heart rate from a Wiggers diagram, you must first determine the Duration of One Cardiac Cycle. This is typically found on the X-axis (the horizontal time axis). You can measure this duration using several markers:
- R-R Interval: The distance between the peaks of two consecutive R-waves on the ECG strip at the bottom of the diagram.
- End-Diastole to End-Diastole: The time from the beginning of one ventricular contraction to the next.
- P-P Interval: The time between two consecutive P-waves.
The Calculation Formula
Since there are 60 seconds in a minute, the formula to find Heart Rate (Beats Per Minute) is:
If the diagram provides the time in milliseconds (ms), use this variation:
Realistic Example
Suppose you are analyzing a Wiggers diagram where the X-axis shows that one full cardiac cycle (from the start of atrial systole to the end of ventricular diastole) takes exactly 0.75 seconds.
Using the formula:
60 / 0.75 = 80 BPM
This result indicates a normal resting heart rate. If the cycle duration was shorter (e.g., 0.5 seconds), the heart rate would increase (120 BPM), indicating physiological stress or exercise during the recording of that diagram.
Key Components of the Wiggers Diagram
While the time axis gives you the heart rate, the vertical components tell you about the heart's health:
- Ventricular Pressure: Rises sharply during isovolumetric contraction and ejection.
- Aortic Pressure: Shows the dicrotic notch when the aortic valve closes.
- Ventricular Volume: Reaches its peak at the End-Diastolic Volume (EDV) and its minimum at the End-Systolic Volume (ESV).